Provider Demographics
NPI:1649868738
Name:CAMPBELL-NIXON, CHANTE (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:CHANTE
Middle Name:
Last Name:CAMPBELL-NIXON
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 NE 57TH TER
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:MO
Mailing Address - Zip Code:64119-2004
Mailing Address - Country:US
Mailing Address - Phone:816-977-1508
Mailing Address - Fax:
Practice Address - Street 1:2801 NE 57TH TER
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64119-2004
Practice Address - Country:US
Practice Address - Phone:816-977-1508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA178089363LF0000X
WI14715-33363LF0000X
NM77109363LF0000X
AZ306067363LF0000X
TX1141405363LF0000X
NV872995363LF0000X
NE115635363LF0000X
IN71015923A363LF0000X
IL209031113363LF0000X
MO2020020516363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily